Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $2,884.03	Facility		$1,000.00	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $218.78	Professional		$114.82	$128.82	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $177.83	Professional		$125.89	$147.91	$177.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $2,884.03	Professional		$1,995.26	$2,454.71	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $218.78	Professional		$100.00	$158.49	$218.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $173.78 / $263.03	Professional		$29.51	$173.78	$263.03